Job overview
1.0 FTE, day shift. This is a remote position.
Responsibilities
- Review insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
- Monitor claim status and follow up with insurance carriers on delayed or unpaid claims.
- Review and resolve denied claims in collaboration with payers and patients.
- Post insurance payments, adjustments, and remittance activity accurately to patient accounts.
- Investigate and resolve credit balances and billing discrepancies.
- Respond to internal and external inquiries related to billing and insurance.
- Document all actions and follow-up activities within the billing system.
- Maintain current knowledge of payer guidelines, updates, payer websites, and payer portals.
- Support development and implementation of department procedures and workflows.
- Participate in department meetings, focus groups, training opportunities, and process improvement initiatives.
- Maintain data integrity within billing systems by following established workflows and standards.
- Review reports and work queues to support A/R goals.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- College certificate, associate degree, or equivalent related experience required.
- Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred.
- Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows.
- Experience with claim follow-up, denial management, and appeals preferred.
- Strong attention to detail and effective problem-solving skills.
- Proficiency with computers and the ability to learn billing systems, software, and payer websites/portals.
- Effective communication skills for interacting with insurance companies, internal departments, team members, and patients.
- Strong math skills with a basic understanding of the revenue cycle.
- Understanding of Provider Based Billing (PBB) preferred.
- Ability to manage multiple tasks independently and as part of a team in a fast-paced environment.
Additional details
- Minimum education: Associate degree
- Minimum experience: None
Benefits & Perks
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Basic life insurance
- Tuition reimbursement
- Employer-paid short-term disability and long-term disability
- Adoption assistance plan
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
2 weeks ago